FORM 1023-EZ for THE CAT LOUNGE RESCUE AND ADOPTIONCENTER

Field Data
EIN 83-4145075
Case Number EO-2019087-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAT LOUNGE RESCUE AND ADOPTIONCENTER
Organization’s Mailing Address 18482 HUNTINGTON STREET UNIT A
City HUNTINGTON BEACH
State CA
ZIP 92648
Accounting period End 12
Primary contact name RENEE SHAMLOO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE SHAMLOO
EXECUTIVE DIRECTOR/PRESIDENT
18482 HUNTINGTON STREET UNIT A
HUNTINGTON BEACH CA 92648

Officer/Director/Trustee Two

BRYAN GOLDMAN
DIRECTOR/SECRETARY
955 STONERIDGE WAY
SAN MARCOS CA 92078

Officer/Director/Trustee Three

CHAD BERTNARD
DIRECTOR/TREASURER
5206 PONCE AVENUE APARTMENT 202
WOODLAND HILLS CA 91364

Organization’s website WWW.THECATLOUNGE.ORG
Organization’s email THECATLOUNGESD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RENEE SHAMLOO
Signature Title EXECUTIVE DIRECTOR/PRESIDENT
Signature Date 3/26/19
EIN 83-4145075
Case Number EO-2019087-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAT LOUNGE RESCUE AND ADOPTION CENTER
Organization’s Mailing Address 18482 HUNTINGTON STREET UNIT A
City HUNTINGTON BEACH
State CA
ZIP 92648
Accounting period End 12
Primary contact name RENEE SHAMLOO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE SHAMLOO
EXECUTIVE DIRECTOR/PRESIDENT
18482 HUNTINGTON STREET UNIT A
HUNTINGTON BEACH CA 92648

Officer/Director/Trustee Two

BRYAN GOLDMAN
DIRECTOR/SECRETARY
955 STONERIDGE WAY
SAN MARCOS CA 92078

Officer/Director/Trustee Three

CHAD BERTNARD
DIRECTOR/TREASURER
5206 PONCE AVENUE APARTMENT 202
WOODLAND HILLS CA 91364

Organization’s website WWW.THECATLOUNGE.ORG
Organization’s email THECATLOUNGESD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RENEE SHAMLOO
Signature Title EXECUTIVE DIRECTOR/PRESIDENT
Signature Date 3/26/19

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